
@article{ref1,
title="Achieving convergence between a community-based measure of explosive anger and a clinical interview for intermittent explosive disorder in Timor-Leste",
journal="Journal of affective disorders",
year="2013",
author="Liddell, Belinda and Silove, Derrick and Tay, Kuowei and Tam, Natalino and Nickerson, Angela and Brooks, Robert and Rees, Susan and Zwi, Anthony B. and Steel, Zachary",
volume="150",
number="3",
pages="1242-1246",
abstract="BACKGROUND: There is growing research interest in understanding and analyzing explosive forms of anger. General epidemiological studies have focused on the DSM-IV category of Intermittent Explosive Disorder (IED), while refugee and post-conflict research have used culturally-based indices of explosive anger. The aim of this study was to test the convergence of a culturally-sensitive community measure of explosive anger with a structured clinical interview diagnosis of IED in Timor-Leste, a country with a history of significant mass violence and displacement. METHODS: A double-blind clinical concordance study was conducted amongst a stratified community sample in post-conflict Timor-Leste (n=85) to compare a community measure of anger against the Structured Clinical Interview (SCID) module for IED. RESULTS: Clinical concordance between the two measures was high: the area under the curve (AUC) index was 0.90 (95% CI: 0.83-0.98); sensitivity and specificity were 93.3% and 87.5% respectively. LIMITATIONS: Response rates were modest due to the participant's time commitments. CONCLUSIONS: It is possible to achieve convergence between culturally-sensitive measures of explosive anger and the DSM-IV construct of IED, allowing comparison of findings across settings and populations.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2013.06.006",
url="http://dx.doi.org/10.1016/j.jad.2013.06.006"
}